Pharmacist

LICENSED CONTROLLED PHARMACY SUBSTANCE

32*****37

NOT RENEWED

Y

HEALTHCARE PHARMACY

01/01/1997

03/31/1996

OAK BROOK

IL

60521

DUPAGE

Hospital/Clinic

II III IV V

Y

10/18/2005

1992003334

Probation

09/05/1994

03/04/1995